Cubitus varus deformity following paediatric supracondylar humeral fracture remodelling predominantly in the sagittal direction: A three-dimensional analysis of eighty-six cases

Miyake, Tasuku; Miyamura, Satoshi; Miki, Ryo; Shiode, Ryoya; Iwahashi, Toru; Kazui, Arisa; Yamamoto, Natsuki; Tanaka, Hiroyuki; Okada, Seiji; Murase, Tsuyoshi; Oka, Kunihiro

doi:https://doi.org/10.1007/s00264-024-06197-2

Cubitus varus deformity following paediatric supracondylar humeral fracture remodelling predominantly in the sagittal direction: A three-dimensional analysis of eighty-six cases

Miyake, Tasuku; Miyamura, Satoshi; Miki, Ryo et al.

International Orthopaedics, 2024, 48, 2091-2099

Number of Access:1,445（2025-07-24 09:31 Counts）

Identifier to cite or link to this item: https://hdl.handle.net/11094/97116

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Title	Cubitus varus deformity following paediatric supracondylar humeral fracture remodelling predominantly in the sagittal direction: A three-dimensional analysis of eighty-six cases
Creator	CreatorName Miyake, Tasuku
	NRID 1000010897599 1000010897599 ORCID 0000-0002-2245-5554 0000-0002-2245-5554 researchmap permalink SatoshiMiyamura SatoshiMiyamura Scopus Author ID 57193504364 57193504364 CreatorName Miyamura, Satoshi
	CreatorName Miki, Ryo
	NRID 1000030964449 1000030964449 researchmap permalink RyoyaShiode RyoyaShiode ORCID 0000-0002-3148-0399 0000-0002-3148-0399 CreatorName Shiode, Ryoya
	NRID 1000040852108 1000040852108 researchmap permalink tiwa tiwa CreatorName Iwahashi, Toru
	researchmap permalink arisakazui arisakazui CreatorName Kazui, Arisa
	CreatorName Yamamoto, Natsuki
	NRID 1000000432542 1000000432542 researchmap permalink tanahiro-osk tanahiro-osk Scopus Author ID 55628564591 55628564591 CreatorName Tanaka, Hiroyuki
	NRID 1000030448435 1000030448435 ORCID 0000-0002-5107-8209 0000-0002-5107-8209 researchmap permalink okadaseiji okadaseiji Scopus Author ID 35079139100 35079139100 CreatorName Okada, Seiji
	NRID 1000050335361 1000050335361 ORCID 0000-0001-5628-5891 0000-0001-5628-5891 researchmap permalink tmurase-osk tmurase-osk Scopus Author ID 7202678305 7202678305 CreatorName Murase, Tsuyoshi
	NRID 1000050724085 1000050724085 researchmap permalink kunihiro kunihiro Scopus Author ID 8529412800 8529412800 CreatorName Oka, Kunihiro
Subject	Complication after supracondylar fracture
	Cubitus varus deformity
	Elbow
	Remodelling
	Three-dimensional analysis
Description	The version of record of this article, first published in International Orthopaedics, is available online at Publisher’s website: https://doi.org/10.1007/s00264-024-06197-2.
Abstract	Purpose: Three-dimensional (3D) capacity for remodelling in cubitus varus deformity (CVD) after paediatric supracondylar humeral fractures (PSHFs) remains unelucidated. This study investigated remodelling patterns after PSHFs by examining 3D deformity distribution over time after injury. Methods: Computed tomography (CT) data of 86 patients with CVD after PSHFs were analysed. The 3D deformity angles in the sagittal, coronal, and axial directions were assessed and correlated with the duration between the age at injury and CT evaluation. For the subgroup analysis, we performed the same correlation analysis in a younger (< 8 years old) and an older group (≥ 8 years old); we categorized the duration into early (< 2 years), middle (≥ 2 to < 5 years), and late periods (≥ 5 years) and compared the deformity angles of each direction among the three groups. Results: Sagittal deformity showed a moderate correlation with the duration of deformity (r = -0.54; P < 0.001), while coronal and axial deformities showed a negligible correlation. Sagittal deformity showed moderate correlations with the duration in the younger group (r = -0.62; P < 0.001) and weak correlations in the older group (r = -0.37; P = 0.091). In the sagittal direction, the deformity angle in the early period was significantly larger than those in the mid and late periods (P < 0.001). However, there were no significant differences among the three groups in the coronal and axial directions. Conclusion: Sagittal deformities in CVDs are capable of remodelling, especially in the early period and at a younger age, whereas coronal and axial deformities are less likely to undergo remodelling.
Publisher	Springer Nature
Source Title	International Orthopaedics
Volume (Issue)	48
Page	2091-2099
Date of Issued	2024-05-10
Language	English
Handle URL	https://hdl.handle.net/11094/97116
PISSN	03412695
eISSN	14325195
Relation.isIdenticalTo	DOI (Publisher Version) https://doi.org/10.1007/s00264-024-06197-2
Access Rights	open access
CopyRight	This article is licensed under a Creative Commons Attribution 4.0 International License.
oaire:version	Version of Record
Category	学術雑誌論文 Journal Article

Resource Type	journal article
Local Type	Journal Article
DCTERMS.bibliographicCitation	International Orthopaedics. 2024, 48, p. 2091-2099
DC.title	Cubitus varus deformity following paediatric supracondylar humeral fracture remodelling predominantly in the sagittal direction: A three-dimensional analysis of eighty-six cases
DC.creator	Miyake, Tasuku
	Miyamura, Satoshi
	Miki, Ryo
	Shiode, Ryoya
	Iwahashi, Toru
	Kazui, Arisa
	Yamamoto, Natsuki
	Tanaka, Hiroyuki
	Okada, Seiji
	Murase, Tsuyoshi
	Oka, Kunihiro
DC.publisher	Springer Nature
DC.language' scheme='DCTERMS.RFC1766	English
DCTERMS.issued' scheme='DCTERMS.W3CDTF	2024-05-10
DC.identifier	https://doi.org/10.1007/s00264-024-06197-2
DC.subject	Complication after supracondylar fracture
	Cubitus varus deformity
	Elbow
	Remodelling
	Three-dimensional analysis
DC.description	The version of record of this article, first published in International Orthopaedics, is available online at Publisher’s website: https://doi.org/10.1007/s00264-024-06197-2.
DCTERMS.abstract	Purpose: Three-dimensional (3D) capacity for remodelling in cubitus varus deformity (CVD) after paediatric supracondylar humeral fractures (PSHFs) remains unelucidated. This study investigated remodelling patterns after PSHFs by examining 3D deformity distribution over time after injury. Methods: Computed tomography (CT) data of 86 patients with CVD after PSHFs were analysed. The 3D deformity angles in the sagittal, coronal, and axial directions were assessed and correlated with the duration between the age at injury and CT evaluation. For the subgroup analysis, we performed the same correlation analysis in a younger (< 8 years old) and an older group (≥ 8 years old); we categorized the duration into early (< 2 years), middle (≥ 2 to < 5 years), and late periods (≥ 5 years) and compared the deformity angles of each direction among the three groups. Results: Sagittal deformity showed a moderate correlation with the duration of deformity (r = -0.54; P < 0.001), while coronal and axial deformities showed a negligible correlation. Sagittal deformity showed moderate correlations with the duration in the younger group (r = -0.62; P < 0.001) and weak correlations in the older group (r = -0.37; P = 0.091). In the sagittal direction, the deformity angle in the early period was significantly larger than those in the mid and late periods (P < 0.001). However, there were no significant differences among the three groups in the coronal and axial directions. Conclusion: Sagittal deformities in CVDs are capable of remodelling, especially in the early period and at a younger age, whereas coronal and axial deformities are less likely to undergo remodelling.
DC.rights	This article is licensed under a Creative Commons Attribution 4.0 International License.
DC.format	97116
citation_title	Cubitus varus deformity following paediatric supracondylar humeral fracture remodelling predominantly in the sagittal direction: A three-dimensional analysis of eighty-six cases
citation_author	Miyake, Tasuku
	Miyamura, Satoshi
	Miki, Ryo
	Shiode, Ryoya
	Iwahashi, Toru
	Kazui, Arisa
	Yamamoto, Natsuki
	Tanaka, Hiroyuki
	Okada, Seiji
	Murase, Tsuyoshi
	Oka, Kunihiro
citation_publisher	Springer Nature
citation_language	English
citation_date	2024-05-10
citation_journal_title	International Orthopaedics
citation_volume	48
citation_firstpage	2091
citation_lastpage	2099
citation_doi	https://doi.org/10.1007/s00264-024-06197-2
citation_public_url	https://hdl.handle.net/11094/97116

Cubitus varus deformity following paediatric supracondylar humeral fracture remodelling predominantly in the sagittal direction: A three-dimensional analysis of eighty-six cases

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